| NPI | 1689300527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301745) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23816) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |